A pervy doctor showed off pictures of his patients' privates and traded Botox treatments for sex, a former employee claims.

AnnMarie Miglorino says Dr. George Shapiro routinely boasted about trading cosmetics for sexual favors from female patients at his lower Manhattan practice, according to the ex-worker's complaint to the federal Equal Employment Opportunity Commission.

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The deviant doc referred to it in the office as, "Botox for b--- j--s," Miglorino said in her filings.

Shapiro, 53, added to the lewd environment when he told her he wanted Miglorino, a nutritionist, to look at the naked images of patients to see how they responded to testosterone treatments.

"They were allegedly for his medical journal, but they were in the camera roll on his cell phone," Miglorino, 32, told the Daily News.

She said she told Shapiro she didn't want to look at the pictures because they made her uncomfortable.

"He'd laugh and try to make a joke out of if it," she said.

The pictures weren't even the most explicit ones Shapiro showed Miglorino, says the complaint by her lawyer Daniel Bright.

He also showed her video of women ejaculating "and asked me if I could do that," says the complaint, which is the first step in filing a federal sexual harassment suit.

Shapiro also showed Miglorino text messages from women he'd claimed to have had sex with, and asked her if she wanted to have a "threesome" with one of the women and him, the filing says.

Dr. George Shapiro is facing a complaint from ex-worker AnnMarie Miglorino, who claims the doctor traded cosmetics for sexual favors from female patients. The complaint is the first step in filing a federal sexual harassment lawsuit.

Miglorino said her problems with Shapiro started soon after she went to work for an age-management center called Cenegenics in October 2011.

Shapiro is director of the national chain's New York center, which Miglorino said caters mostly to middle-aged CEO types.

The exercise counselor's complaint says she had problems with Shapiro "more or less from the beginning" of her employment.

The married father of five made constant creepy comments about how Miglorino looked in yoga tights, according to her complaint.

He would "make repeated, frequent comments to me about what he thought about my anatomy (mostly my rear end and how he likes the way it looks in the yoga tights I was required to wear to work)," the complaint says.

He also commented on how it showed off her front as well, the complaint says.

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She says she complained to the office manager. No action was taken, but the manager tried to accompany Miglorino whenever she had to see Shapiro.

That woman eventually quit, and as time went on, Shapiro got more "aggressive," Miglorino said.

He "tried to kiss me on the mouth several times, and hugged me inappropriately a few times in a sexual manner, pushing his hips into me," the filing says.

Shapiro is the director of the New York chapter of Cenegenics, an age-management center. AnnMarie Miglorino, an ex-worker, says she was fired without cause. Now she's suing Shapiro and the company.

Miglorino said the worst incident was last August, when Shapiro came into her room in the Financial District office and told her he wanted to "put her on the window sill" and perform oral sex on her.

"I immediately left the office and complained" to a co-worker, she said. The co-worker went to the new office manager, who went to Shapiro, the filing says.

"You have a big mouth," Shapiro scolded Miglorino, the complaint says. "He was mad," she said.

Miglorino said she was soon ostracized in the office, and in December, she was fired without cause.

"I've never not had a job before," she said.

She said she's suing Shapiro and Cenegenics to be "compensated for the loss of work, stress and anxiety, and so that they learn their lesson from this."

Shapiro did not return calls for comment at his Wall Street and Scarsdale, Westchester County offices.

He's had problems in the past. In 2006, he pleaded guilty to improperly giving out samples of "Viagra and Cialis and other drugs." He was sentenced to one year of probation and had to pay a $500 fine.